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Evaluating the Trends for Restorative Treatment, Reasons and Management of Failures in General Dental Practices of Hail Region, Saudi Arabia 评估修复治疗的趋势,原因和失败的管理在普通牙科地区,沙特阿拉伯
Pub Date : 2019-03-20 DOI: 10.33805/2572.6978.118
A. Alanazi, R. I. Mian, M. Alshammari, I. A. Ibrahim, F. Alnasrallah, A. S. Alshammari
Aim: The study aims to identify the common causes of performing restoration of teeth in General Dental Practice (GDP). Analyze the common reasons for restoration failure, the material used in the management of restoration repair/replacement in Hail, Saudi Arabia. Objective: This study gave an insight into identifying the reasons for performing dental restorative procedures in general dental practices in Hail, Saudi Arabia. It helped to determine the trends and justification for carrying out therapeutic dental treatments, with a particular emphasis on the treatment modalities, techniques, and materials used for replacement/repair of faulty or failing restorations. Material and method: It was an observational study with a cross-sectional design conducted in Hail, Saudi Arabia. A self-administered face and content validated questionnaire was used as a study tool to analyze the reasons that the general dental practitioners chose to place restorations. This study was done in February 2018. A total of 200 questionnaires were distributed, out of which 191 (response rate: 95.5%) were returned from the clinics of the college of dentistry, private dental clinics and specialist dental center in Hail city, Saudi Arabia. Result: Considering the reason of performing the restorative procedure, replacement of restoration was the most common with a percentage of 95(49.7%) followed by placement of new restoration due to caries represent 78(40.9%) and finally tooth fracture with a total rate of 18 (9.4%). The primary reason for the replacement of restoration reported was restoration fracture 40(42.1%), followed by secondary caries 33(34.7%) and finally aesthetically not acceptable restorations 22(23.2%). Conclusion: The results indicate that, within the parameters of this study, replacement of restoration was the most common reason for the dental procedures. The alarming thing identified by this study was that nearly half of the dental procedures (40.9%) were replacement restoration. Restoration fracture followed by Secondary caries was identified to be the main reason for replacement/ repair of restoration, with practitioners in general practice. Studies of this type give an insight into the prevailing trends and developments in dentistry.
目的:本研究旨在确定在普通牙科诊所(GDP)进行牙齿修复的常见原因。分析修复故障的常见原因,以及沙特阿拉伯Hail修复修复/更换管理中使用的材料。目的:本研究提供了一个深入了解的原因,确定执行牙科修复程序在一般牙科实践在沙特阿拉伯冰雹。它有助于确定进行治疗性牙科治疗的趋势和理由,特别强调用于更换/修复有缺陷或失败的修复体的治疗方式、技术和材料。材料和方法:本研究是在沙特阿拉伯Hail进行的一项横断面设计观察性研究。采用自我管理的面部和内容验证问卷作为研究工具,分析全科牙科医生选择放置修复体的原因。这项研究于2018年2月完成。共发放问卷200份,其中从沙特阿拉伯Hail市牙科学院诊所、私人牙科诊所和专科牙科中心回收问卷191份,回复率95.5%。结果:从进行修复手术的原因来看,最常见的是更换修复体,占95%(49.7%),其次是龋齿放置新修复体,占78(40.9%),最后是牙齿断裂,占18(9.4%)。修复体更换的主要原因是修复体骨折40例(42.1%),其次是继发性龋齿33例(34.7%),最后是美观性不佳的修复体22例(23.2%)。结论:结果表明,在本研究的参数范围内,置换修复是最常见的牙科手术原因。这项研究发现的令人震惊的事情是,近一半的牙科手术(40.9%)是替代修复。修复骨折后继发性龋齿被确定为更换/修复修复的主要原因,从业人员在一般实践中。这种类型的研究提供了深入了解牙科的流行趋势和发展。
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引用次数: 3
Improved Super-elastic Ti–Ni Alloy Wire Treatment for Skeletal Class III Malocclusion with Anterior Crossbite Dentition 改良超弹性钛镍合金丝治疗前牙合牙列骨骼III类错牙合
Pub Date : 2019-02-20 DOI: 10.33805/2572.6978.117
Yuan-Chieh Chang, M. Tsai, Jian-Hong Yu
A 20-year-old man presented at our clinic with a primary complaint of irregular dentition and reverse bite. Clinical examination revealed skeletal Class III malocclusion with an anterior crossbite and a completely blocked #25 in the maxilla. Because he refused to receive orthognathic surgery and experienced only mild functional interference, a nonextraction treatment method was adopted. Space creation on the left upper arch was successfully performed using an open coil spring for molar distalization and the improved super-elastic Ti–Ni alloy wire (ISW) Multi-bends Edgewise Arch Wire (MEAW) technique. Furthermore, #25 was aligned completely. The Class III malocclusion was corrected using the ISW MEAW technique combined with Class III elastics on the lower arch. Treatment was completed in approximately 16 months and a satisfactory occlusion was achieved after active treatment.
一名二十岁的男性以牙列不规则和反向咬合的主诉来到我们的诊所。临床检查发现骨骼III类错颌,前牙合和上颌完全阻塞。由于他拒绝接受正颌手术,且仅经历轻微的功能干扰,因此采用非拔牙治疗方法。采用开放式螺旋弹簧进行磨牙远端和改进的超弹性Ti-Ni合金丝(ISW)多弯曲边缘弓丝(MEAW)技术成功地在左上弓上创造空间。此外,#25完全对齐。采用ISW - MEAW技术结合下弓III类弹性矫治III类错牙合。治疗完成约16个月,积极治疗后获得满意的咬合效果。
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引用次数: 0
The Effect of Water Fluoride Concentration on DMFT Index in Vardar Population in Macedonia 水中氟化物浓度对马其顿瓦尔达尔人DMFT指数的影响
Pub Date : 2018-11-13 DOI: 10.33805/2572-6978.114.114
Ambarkova Vesna
The aim of this study is to determine the correlation between the DMFT index of 12-year-old children and the concentration of fluorine in drinking water from the populated areas where children live. Material and method: In the examination, 85children were enrolled, out of 2 central and 2regional primary schools, at which the DMFT index was determined. The children live in 2 different cities and 2 different villages. Four water samples were taken from the examined area to determine the fluorine concentration by using the electrochemical method using the pH/ISE Meter-Thermo-Orion with a special F-electrode (Thermo Orion Ion Plus Fluoride Electrode) at the Institute for public health. Spearman's method was used to determine the correlation between the specified variables. Results: The total number of children in the examined sample was 85, out of which45 were male and 40 were female. The average DMFT index in this group of children was 2.75 with a standard deviation of ±2.56. Maximum concentration of fluorine in drinking water of 0.39ppmF was determined in the village Vinicani, while the minimum (0.17ppmF) in the city Veles and (0.20 ppmF) in the village Melnica. Correlation of the DMFT index in children from the Vardar region and the concentration of fluorine in the drinking water has a negative, indirect correlation, with the value of the coefficient r=-0.393. Conclusion: The correlation between the DMFT index and the concentration of drinking water is a negative, indirect and correlation is highly significant
本研究的目的是确定12岁儿童DMFT指数与儿童居住的人口稠密地区饮用水中氟浓度之间的相关性。材料和方法:在2所中央小学和2所地区小学中,共有85名儿童被录取,并确定了DMFT指数。孩子们生活在两个不同的城市和两个不同的村庄。采用公共卫生研究所pH/ISE - thermoorion - meter - ISE -特殊f电极(Thermo Orion离子加氟电极)的电化学方法,从检查区域采集了4个水样,以确定氟浓度。Spearman方法用于确定指定变量之间的相关性。结果:被检儿童总数85人,其中男45人,女40人。本组患儿DMFT指数平均为2.75,标准差为±2.56。Vinicani村饮用水中氟的最高浓度为0.39ppmF, Veles市最低(0.17ppmF), Melnica村最低(0.20 ppmF)。瓦尔达尔地区儿童DMFT指数与饮用水氟浓度呈负相关,间接相关系数r=-0.393。结论:DMFT指数与饮用水浓度呈负相关、间接相关,相关性极显著
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引用次数: 0
The Detection of Pre-Diabetic Patients in the Dental Setting 牙科糖尿病前期患者的检测
Pub Date : 1900-01-01 DOI: 10.33805/2572-6978.129
Hamda AlMesmar, N. Saleh, S. AlMashhadani, K. Farghali
Pre-diabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. Pre-diabetes puts one at an increased risk of developing type 2 diabetes and heart disease.Methodology: A cross-sectional study was carried out on 384 patients aged 20-70 years old, attending the dental clinics to assess the risk for diabetes, using the FINDRISC (Finnish Diabetes Risk Score) questionnaire, HbA1c blood test and a periodontal examination.Results: The mean age of participants was 38.90 ± 10.74. 32.3% were categorized as no risk, 46.6% low risk, while 19% and 2.1% moderate and high risk of developing diabetes respectively. Tests for serum HbA1c Level showed 46.1% had normal HbA1c followed by 18.0% and 3.6% were pre-diabetic and diabetic respectively. 19.3% of participants had periodontal pockets measuring more than 4mm and 15.9% measuring more than 6mm.Conclusion: The study has proven to be useful in identifying patients at high-risk of developing diabetes. Controlling and managing periodontal disease could be a new aspect to include in the standards for diabetes care. Dental settings could be a successful platform to carry out the screening and risk stratification of pre-diabetic patients.
糖尿病前期是一种严重的健康状况,血糖水平高于正常水平,但还没有高到被诊断为2型糖尿病。糖尿病前期会增加患2型糖尿病和心脏病的风险。方法:采用FINDRISC(芬兰糖尿病风险评分)问卷、HbA1c血检和牙周检查,对384例20-70岁的患者进行了横断面研究,以评估其患糖尿病的风险。结果:参与者平均年龄为38.90±10.74岁。32.3%的人被归类为无风险,46.6%的人被归类为低风险,19%的人被归类为中度糖尿病,2.1%的人被归类为高风险糖尿病。血清糖化血红蛋白检测结果显示,46.1%的患者糖化血红蛋白正常,18.0%为糖尿病前期,3.6%为糖尿病前期。19.3%的参与者牙周袋长度超过4毫米,15.9%的参与者牙周袋长度超过6毫米。结论:该研究已被证明对识别糖尿病高危患者是有用的。控制和管理牙周病可能是一个新的方面,包括在糖尿病护理标准。牙科环境可以成为开展糖尿病前期患者筛查和风险分层的成功平台。
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引用次数: 0
Zimmerman-Laband Syndrome Oral Manifestations A Case Report Zimmerman-Laband综合征口腔表现1例报告
Pub Date : 1900-01-01 DOI: 10.33805/2572-6978.116
A. Mathew, M. James, H. Maria
Zimmerman-Laband syndrome was reported by Zimmerman in the year 1928 which is a rare inherited autosomal dominant disease characterized by generalized enlargement of the attached and marginal gingiva, abnormalities of nose, ear, deformities of nails, joint hyperextensibility, hepatosplenomegaly, skeletal abnormalities and occasional mental retardation. Idiopathic gingival enlargement is usually evident after the eruption of the permanent teeth. Both sexes are equally affected. Genetic loci for autosomal dominant modes of gingival fibromatosis is localized to chromosome 2p21p22 (HGF-1) and chromosome 5q12-q22 (HGF-2). This syndrome is not a life threatening disorder. Hereditary gingival enlargement is associated with syndromes like Rutherford syndrome, Zimmerman-Laband syndrome, Murray-Puretic-Drescher syndrome, Cross syndrome and Ramon’s syndrome. The most important feature of this syndrome is gingival enlargement appearing early in childhood. Idiopathic gingival enlargement is usually evident after the eruption of the permanent teeth. Surgical correction of gingival fibromatosis is recommended, although there is no information on the permanence of the results of this treatment. We present a case of a 14 year old female patient with Zimmerman-Laband syndrome. Gingivectomy was carried out in the upper and lower anterior region there by exposing the impacted teeth.
Zimmerman- laband综合征由Zimmerman于1928年报道,是一种罕见的遗传常染色体显性遗传病,其特征是附着龈和边缘龈的广泛性扩大,鼻、耳异常,指甲畸形,关节过伸,肝脾肿大,骨骼异常和偶尔的智力迟钝。特发性牙龈肿大通常在恒牙长出后很明显。男女都受到同样的影响。牙龈纤维瘤病常染色体显性遗传位点定位于染色体2p21p22 (HGF-1)和染色体5q12-q22 (HGF-2)。这种综合症并不会危及生命。遗传性牙龈肿大与卢瑟福综合征、Zimmerman-Laband综合征、Murray-Puretic-Drescher综合征、Cross综合征和Ramon综合征等综合征有关。该综合征最重要的特征是在儿童早期出现牙龈肿大。特发性牙龈肿大通常在恒牙长出后很明显。手术矫正牙龈纤维瘤病是推荐的,虽然没有关于这种治疗结果的持久性的信息。我们提出一个病例14岁的女性患者与齐默曼-拉邦综合征。通过暴露阻生牙,在上、下前牙区进行牙龈切除术。
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引用次数: 0
Mandible in Forensic Anthropology 法医人类学中的下颌骨
Pub Date : 1900-01-01 DOI: 10.33805/2572-6978.115
Aspalilah Alias, F. Nor
Forensic anthropology is defined as the field of study, which focused on examination of human bone systematically in order to get the identification of remains in medico-legal case.
法医人类学是指在法医学案件中,通过对人体骨骼进行系统的检验,以获得遗骸鉴定的学科。
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引用次数: 2
期刊
Dental Research and Management
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